# HEART OF EAGLE RIVER MEDICAL CLINIC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033277041
- **Authorized official:** NANCY J HOLDER (BILLING AGENT)
- **Authorized official phone:** (907) 694-1300

## Contact information

- **Practice address:** 11432 BUSINESS BLVD, SUITE 4, EAGLE RIVER, AK 99577-7720
- **Practice address phone:** (907) 694-1300
- **Practice address fax:** (907) 694-1315
- **Mailing address:** 11432 BUSINESS BLVD, SUITE 4, EAGLE RIVER, AK 99577-7720
- **Mailing address phone:** (907) 694-1300
- **Mailing address fax:** (907) 694-1315

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/04/2006
- **Last updated:** 06/21/2018